Milwaukee Dental Group SC
Milwaukee Dental Group SC provides General Practice Dentistry in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.
- Licensed in
- WI
- In the registry since
- 2016
Practice location Address checks out
5542 W Fond Du Lac AveMilwaukee, WI 53216-1200 Not confirmed with CMS for 10 years — call before visiting
Phone: (414) 378-7971
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 3107-15 (WI) |
|---|
Record details
| NPI number | 1457808487 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sham Chandok — Owner · (414) 378-7971 |
| NPI enumerated | September 7, 2016 |
| Last updated in NPPES | September 7, 2016 |
| Mailing address | 5542 W Fond Du Lac Ave, Milwaukee, WI 53216-1200 |
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